Wendy Wallis, RPH

NPI #1093723587 in Sussex, Wisconsin

Provider Information

NPI Number: 1093723587
Entity Type: Individual
Name: Wendy Wallis, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: N77W24850 KATHLEEN CT
Address 2: PCC SERVICES
City: Sussex
State: Wisconsin
ZIP Code: 53089-1983
Phone: (262) 246-9644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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